Actually, you need to do both. The 5 day for PPS payment purposes, and the
D/C prior to completation of Admission assessment for OBRA. That is unless
you combine your  5 day and Admission.

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of
[EMAIL PROTECTED]
Sent: Wednesday, January 21, 2004 6:04 PM
To: [EMAIL PROTECTED]
Subject: coding medicare assess


According to our adm. if a resident leaves the facility say prior to 12mn on
the 18th the last actual day of service would be 17th due to the "midnight
rule". how about the res that is admitted on the 17th and leaves the
facility 2-3
hours later would you do a 5 day or a disch prior to completion of assess
and
just take a default rate? Thanks
/----------------------------------------------------------
The Case Mix Discussion Group is a free service of the
 American Association of Nurse Assessment Coordinators
      "Committed to the Assessment Professional"
Be sure to visit the AANAC website. Accurate answers to your
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    For more info visit us at http://www.aanac.org
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/----------------------------------------------------------
The Case Mix Discussion Group is a free service of the
 American Association of Nurse Assessment Coordinators
      "Committed to the Assessment Professional"
Be sure to visit the AANAC website. Accurate answers to your
         questions posted to NAC News and FAQs.
    For more info visit us at http://www.aanac.org
-----------------------------------------------------------/

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